A5050467819- Cardiac, Anesthesia and Surgical Outcomes
- Airway Management and Intubation Techniques
- Anesthesia and Pain Management
- Anesthesia and Sedative Agents
- Intensive Care Unit Cognitive Disorders
- Obstructive Sleep Apnea Research
- Enhanced Recovery After Surgery
- Diet and metabolism studies
- Nausea and vomiting management
- Tracheal and airway disorders
- Thermal Regulation in Medicine
- Anesthesia and Neurotoxicity Research
- Trauma and Emergency Care Studies
- Restraint-Related Deaths
- Intraoperative Neuromonitoring and Anesthetic Effects
- Sepsis Diagnosis and Treatment
- Cardiovascular and Diving-Related Complications
- Respiratory and Cough-Related Research
- Abdominal vascular conditions and treatments
- Healthcare Decision-Making and Restraints
- Thermoregulation and physiological responses
- Blood transfusion and management
- Gastrointestinal Bleeding Diagnosis and Treatment
- Risk and Safety Analysis
- Ultrasound in Clinical Applications
Prince of Songkla University
2019-2025
Tokyo Women's Medical University
2017
Objective: Neuromuscular blocking agents are commonly used in patients undergoing general anesthesia with an endotracheal tube. This can result residual neuromuscular blockade and respiratory complications. The decision to extubate is usually based on clinical criteria assessment. study aimed investigate the train-of-four (TOF) ratio having fulfilled before extubation.Material Methods: prospective observational recruited 294 elective adult patients, American Society of Anesthesiologists...
Background/Objectives: Unanticipated difficult airways remain a significant challenge in anesthesia practice and are associated with increased severe complication risk. This study developed validated novel predictive tool for identifying unanticipated airways. Methods: retrospective case-control analyzed data from 62,111 patients who underwent general between 2015 2020. Among them, 98 were identified matched 1:3 ratio 294 controls. Multivariate logistic regression was utilized to determine...
Objective This study aims to explore the association between intraoperative hypothermia and outcomes in adult patients undergoing laparoscopic surgery. Methods A retrospective analysis of 2048 surgery treated 2020 2021 was conducted at Songklanagarind Hospital, Thailand. Intraoperative hypothermia, defined as a core temperature below 36°C, recorded either one or more than episode. Patient demographics, clinical information postoperative were extracted from hospital system. The cardiac...
We aimed to determine the clinical predictors of perioperative anticipated and unanticipated difficult intubation using a matched case-control study. recruited patients undergoing surgery with endotracheal from 2015 2020. Difficult was defined as at least 3 attempts perform conventional or video laryngoscopy before surgery. Controls were randomly selected in ratio 3:1 matching on year surgery, site operation age within 5 years. Clinical evaluated. A multivariate conditional logistic...
<title>Abstract</title> Background Unanticipated difficult airways remain a significant challenge in anesthesia practice and are associated with increased severe complication risk. In this study, we developed validated the CLAIR risk prediction tool to enhance early identification of unanticipated airways. Methods This retrospective case-control study analyzed data from 62,111 patients who underwent general between 2015 2020. Among them, 98 were identified matched 1:3 ratio 294 controls....
Following cerebral arteriovenous malformation (AVM) surgery, severe brain edema and hemorrhage may be caused by postoperative normal perfusion pressure breakthrough (NPPB). Sedation is necessary for this population. It a challenge the anesthesiologist to maintain hemodynamic stability without interfering with neurological assessment. In Japan, propofol contraindicated pregnant patients. Dexmedetomidine versatile drug in anesthesia practice useful situation. There no report using...
After damage control surgery, trauma patients are transferred to intensive care units restore the physiology. During this period, massive transfusion might be required for ongoing bleeding and coagulopathy. This research aimed identify predictors of blood in surgical (SICUs).This is an analysis THAI-SICU study which was a prospective cohort that done 9-university-based SICUs Thailand. The included only admitted due mechanisms. Massive defined as received ≥10 packed red cells on first day...
Enhanced recovery after surgery (ERAS) protocols have reduced the length of hospital stay (LOS) and healthcare costs without increasing adverse outcomes. We describe impact adherence to an ERAS protocol for elective craniotomy among neuro-oncology patients at a single institution.This retrospective study enrolled adult who underwent our institute between January 2020 April 2021. The were divided into high- low-adherence groups depending on their ≥9 or <9 16 items, respectively. Inferential...
Awake craniotomy (AC) with direct cortical stimulation is becoming the gold standard for functional brain mapping. It used to identify safe area before pathologic resection. This method indicates pathology near or at eloquent cortex, such as gliomas metastasis. AC can optimize patient’s quality of life and oncologic outcome. task requires active cooperation a patient care team familiar advanced neuroscience challenging learn. We report first time this operation which performed in our...
Background: Remifentanil is favored for neurosurgical pain management, but its utilization in low- and middle-income countries (LMICs) limited. Scalp block techniques are effective LMICs, cost-effectiveness uncertain. This study compares costs perioperative outcomes of scalp versus fentanyl infusion patients undergoing elective supratentorial craniotomy. Methods: A prospective double-blind randomized controlled trial was conducted with 36 aged 18– 65 years Patients were randomly assigned to...
Background: Previous studies found that a laryngotracheal instillation of 100-160 mg lidocaine could alleviate cough. The objective is to examine whether smaller dosage (40 mg) can produce non-inferior result the usual dosage.Method: This study included 275 patients, aged 18 - 60 years old, with an American Society Anesthesiologists (ASA) class I III, who were undergoing elective surgery under general anesthesia endotracheal tube. All patients blindly divided into two groups. Two ml 2%...
Objective: To assess the factors associated with ineffective thoracic epidural analgesia (iTEA) in post-anesthesia care unit (PACU) among patients requiring TEA. Material and Methods: This prospective cohort was conducted on 146 post-operative The verbal numeric rating scale (VNRS) employed to TEA effectiveness PACU arrival at 10, 20, 30 minutes after surgery; iTEA determined if VNRS score more than 3 4 rest during activity, respectively. patient characteristics, intra- management were...
Objective: To observe the frequency and causes of first-case tardiness its consequences.Material Methods: Six months data from scheduled surgical patients 18 operating rooms (OR), under 13 subspecialties, between September 2014 February 2015, in a tertiary-care university hospital, were collected. We aimed to identify: (1) rate tardy time tardiness, (2) overutilization caused by (3) cancellation due tardiness.Results: From total 3,965 elective cases, 1,343 qualified as first cases included...
Previous studies have found that laryngotracheal instillation of 100–160 mg lidocaine could alleviate cough. The objective this study was to examine whether a smaller dosage (40 mg) can produce noninferior result compared with the usual dosage. This included 275 patients aged 18–60 years an American Society Anesthesiologists class I-III who were undergoing elective surgery under general anesthesia tracheal tube. All randomly divided into two groups. Two milliliters 2% diluted 3 ml sterile...